POTENTIAL IMPACT OF THE BIOSIMILARS INTRODUCTION OF 3 ANTI-TNFS IN THE EUROPEAN MARKET

Author(s)

Psachoulia E, Martin-Rinconada MC, Levysohn A
Biogen International GmbH, Zug, Switzerland

OBJECTIVES:  Anti-TNFs represent a substantial cost in the European healthcare systems. Patents of infliximab and etanercept have expired in Europe, with patent of adalimumab expected to expire in Europe in 2018. Biosimilars of former two are available in Europe. This study’s objective was to assess the potential savings of introducing infliximab, etanercept and adalimumab biosimilars in Europe. METHODS: Savings for each anti-TNF were estimated from the year of biosimilar entry in Europe (2015 for infliximab, 2016 for etanercept and 2018 for adalimumab) up to 2020. Annual sales ($) of originator products in the year prior to biosimilar entry were used assuming these to remain constant in subsequent years (adalimumab from 2015).

Infliximab biosimilars average market share (MS) was 20% in 2015 and 45% in 2016 and it was assumed a 10% increase in 2017 and a 5% in subsequent years. Etanercept biosimilars MS was assumed 20% in 2016, 40% in 2017 (2nd biosimilar in the market), 50% in 2018, 55% in 2019 and 60% in 2020. Adalimumab biosimilars MS was assumed 30% in 2018, 50% in 2019 and 60% in 2020. Infliximab biosimilar average discount was 40% in 2015 and 50% in 2016 assuming further 2.5% in subsequent years. Etanercept biosimilar average discount was 35% in 2016 assuming further 10% discount in 2017 and further 2.5% in subsequent years. For adalimumab biosimilar, 35% discount was assumed in 2018 with further 2.5% in subsequent years. Originator prices were assumed to decrease by 10% in first 2 years of biosimilar introduction and by 20% in subsequent years. RESULTS:  Biosimilar introduction of the 3 anti-TNFs in Europe is likely to result in savings of $11.44b between 2015-2020; i) infliximab: $5.31b, ii) etanercept: $2.95b & iii) adalimumab: $3.18b. CONCLUSIONS: Biosimilars of these 3 anti-TNFs will provide significant savings to the healthcare systems across Europe contributing to their sustainability.

Conference/Value in Health Info

2017-05, ISPOR 2017, Boston, MA, USA

Value in Health, Vol. 20, No. 5 (May 2017)

Code

PMS16

Topic

Economic Evaluation

Topic Subcategory

Budget Impact Analysis

Disease

Gastrointestinal Disorders, Musculoskeletal Disorders

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